Family-Based Intervention for Schizophrenic Patients in China

1994 ◽  
Vol 165 (2) ◽  
pp. 239-247 ◽  
Author(s):  
Wei Xiong ◽  
M. R. Phillips ◽  
Xiong Hu ◽  
Ruiwen Wang ◽  
Qinqing Dai ◽  
...  
Keyword(s):  
Family Relationships ◽  
Medication Management ◽  
Urban Families ◽  
Family Intervention ◽  
Family Education ◽  
Control Group ◽  
Schizophrenic Patients ◽  
Family Based ◽  
To Receive ◽  
Experimental Group

Background.We developed and evaluated a comprehensive, ongoing intervention for families of schizophrenic patients appropriate for China's complex family relationships and unique social environment.Method.Sixty-three DSM–III–R schizophrenic patients living with family members were enrolled when admitted to hospital and randomly assigned to receive standard care or a family-based intervention that included monthly 45-minute counselling sessions focused on the management of social and occupational problems, medication management, family education, family group meetings, and crisis intervention.Results.At 6, 12, and 18-month follow-ups by blind evaluators, the proportion of subjects rehospitalised was lower, the duration of rehospitalisation was shorter, and the duration of employment was longer in the experimental group than in the control group; these differences were statistically significant at the 12 and 18-month follow-ups and were not explained by differences in drug compliance. Family intervention was associated with significantly lower levels of family burden.Conclusions.This intervention is less costly than standard treatment, is suitable for urban families of schizophrenic patients in China and feasible given the constraints of the Chinese mental health system.

Randomised-Control Trial of Family Intervention for 78 First-Episode Male Schizophrenic Patients

1994 ◽  
Vol 165 (S24) ◽  
pp. 96-102 ◽  
Author(s):  
Minglian Zhang ◽  
Mingtao Wang ◽  
Jianjun Li ◽  
Michael R. Phillips
Keyword(s):  
Clinical Status ◽  
Intervention Group ◽  
Family Intervention ◽  
Randomised Control Trial ◽  
First Episode ◽  
Control Group ◽  
The Family ◽  
Schizophrenic Patients ◽  
Stratified Analysis ◽  
Experimental Group

At the time of discharge from their first stay in psychiatric hospital, 78 male schizophrenic patients were randomly assigned to a family intervention (experimental) group or a ‘standard care’ control group and were followed for the next 18 months. The family intervention consisted of both group and individual counselling sessions every 1–3 months that focused on education about the illness and on methods of dealing with the patient. There was a significantly lower rate of hospital readmission in the family intervention group than in the control group (15.4% versus 53.8%, χ2= 12.75, P<0.01), and the mean hospital-free period for those who were readmitted was significantly longer in the experimental group than in the control group (245 days versus 130 days, t =2.91, P<0.01). Moreover, the clinical status and overall level of functioning in patients who were not readmitted were significantly better in experimental subjects than in control subjects. Stratified analysis showed that family intervention and regular use of medication had independent and additive effects on the outcome. During the 18 months after the index discharge patients who did not take medication regularly and who did not receive family intervention were 7.9 times as likely to be readmitted to hospital as patients who took medication regularly and received family intervention.

Excess Opioid Disposal Following Orthopaedic Surgery: A Randomized Clinical Trial

2020 ◽  
pp. 193864002098092
Author(s):  
Cornelia Keyser ◽  
Abhiram Bhashyam ◽  
Abdurrahman Abdurrob ◽  
Jeremy T. Smith ◽  
Eric Bluman ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Orthopaedic Surgery ◽  
Control Group ◽  
Foot And Ankle ◽  
Opioid Medication ◽  
Ankle Surgery ◽  
Randomized Control ◽  
Level I ◽  
To Receive ◽  
Experimental Group

Background Previous research indicates low disposal rates of excess postoperative narcotics, leaving them available for diversion or abuse. This study examined the effect of introducing a portable disposal device on excess opiate opioid disposal rates after lower extremity orthopaedic surgery. Methods This was a single site randomized control trial within an outpatient orthopaedic clinic. All patients 18 years or older, undergoing outpatient foot and ankle surgery between December 1, 2017 and August 1, 2018 were eligible. Patients were prospectively enrolled and randomized to receive standard opioid disposal instructions or a drug deactivation device at 2-week postoperative appointments. Participants completed an anonymous survey at 6-week postoperative appointments. Results Of the 75 patients surveyed, 68% (n = 26) of the experimental group and 56% (n = 21) of the control group had unused opioid medication. Of these, 84.6% of patients who were given Deterra Drug Deactivation System deactivation pouches safely disposed of excess medication, compared with 38% of controls (P = .003). When asked if they would use a disposal device for excess medication in the future, 97.4% (n = 37) of the experimental and 83.8% (n = 31) of the control group reported that they would. Conclusions Providing a portable disposal device with postoperative narcotic prescriptions may increase safe disposal rates of excess opioid medication following lower extremity orthopaedic surgery. Levels of Evidence Level I

INECO Frontal Screening: an Instrument to assess Executive Dysfunction in Schizophrenia

2014 ◽  
Vol 17 ◽  
Author(s):  
Tânia Silva ◽  
Luís Monteiro ◽  
Emanuela Lopes
Keyword(s):  
Executive Dysfunction ◽  
Wisconsin Card Sorting Test ◽  
Screening Tools ◽  
Control Group ◽  
Healthy Controls ◽  
Card Sorting ◽  
Schizophrenic Patients ◽  
Wisconsin Card Sorting ◽  
Sorting Test ◽  
Experimental Group

AbstractAlthough several brief sensitive screening tools are available to detect executive dysfunction, few have been developed to quickly assess executive functioning. The INECO Frontal Screening (IFS) is a brief tool which has proved be useful for the assessment of the executive functions in patients with dementia. The aim of this study was to explore whether the IFS is as sensitive and specific as the BADS, a battery designed to assess the dysexecutive syndrome, in schizophrenia. Our sample comprised a group of 34 schizophrenic patients (Mean age = 39.59, DP = 10.697) and 31 healthy controls (Mean age = 35.52, DP = 10.211). To all groups were administered the BADS, Wisconsin Card Sorting Test and IFS. The results suggest that schizophrenic patients performed significantly worse than the control group in all tests (p < .05). The IFS total score was 13.29 for the experimental group and 26.21 for the control group (p < .001). Considering a cut-off of 14 points, the IFS sensitivity was 100% and specificity 56% in detection of executive dysfunction in schizophrenia, compared with the BADS, that if we consider a cut-off of 11 points, was a sensitivity of 100% and a specificity of 50%. Thus, IFS is a brief, sensitive and specific tool for the detection of executive dysfunction in schizophrenia.

THE IDENTIFICATION OF CHANGES OF SIGNIFICANT NECESSITIES, THAT ARE TYPICAL FOR THE PERSONALITY OF THE COMBATANT IN THE COURSE OF THE REHABILITATION PERIOD

2020 ◽  
pp. 11-15
Author(s):  
O. Karachynskyi
Keyword(s):  
Social Activity ◽  
Emotional Engagement ◽  
Control Group ◽  
Control Groups ◽  
Color Selection ◽  
Initial Stage ◽  
Rehabilitation Period ◽  
The One ◽  
To Receive ◽  
Experimental Group

The article is dedicated to the research of identifying the changes of significant necessities, that are typical for thepersonality of combatants in the course of the rehabilitation period. In order to identify significant necessities, that are typical forthe personality of combatants the method of color selection has been used. It is referred to the necessities that are determinedby main colors: the necessity of satisfaction and affection, the necessity of self-empowerment, the necessity of achievement,obtainment, power; the necessity of social activity and emotional engagement. When interpreting the results, the orientationwas aimed at the first, second and seventh and eight positions, though we had the intention to receive the information concerning the main way of action and its purpose, the one that the researcher is planning to reach as well as his suppressednecessities.At the initial stage of research within the experimental group (EG) the main necessities and tendencies were focused onactivity, the emotional engagement, and simultaneously the necessity to lose the actual reality. At the final stage of researchprominent remains the necessity to stay active, and emotionally engaged there’s no longer a necessity to lose the actual real ity.Prior becomes the need to fortify ones’ position.The main necessities of the control group were: the need to sense intense affiliation, the tendency to achieve externalprotection and emotional comfort; the need to be emotionally engaged, active, the tendency to be passive. When comparing thefixed stages of the experiment we could obviously claim that the prior necessities of control groups under research havepractically not changed. However, at the final stages of research there turned out to be features of harmonizing the personality.

scholarly journals A Pilot Study of a Parent-Education Group for Families Affected by Depression

2003 ◽  
Vol 48 (2) ◽  
pp. 78-86 ◽  
Author(s):  
Mark Sanford ◽  
Carolyn Byrne ◽  
Susan Williams ◽  
Sandy Atley ◽  
Ted Ridley ◽  
...  
Keyword(s):  
Parent Education ◽  
Family Relationships ◽  
Severe Depression ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Depression Symptoms ◽  
Family Doctors ◽  
Selective Loss ◽  
Education Group ◽  
Experimental Group

Objective: This study assessed the feasibility and efficacy of a parent-education group for families with young children and a parent with depression. We designed the program to be readily disseminated if shown to be effective. Method: We recruited 44 parents with depression from clinics and family doctors in Hamilton, Ontario, and randomly assigned them to receive the parenting program or to a wait-list control group. The outcomes measured included knowledge of depression, parenting, family relationships, depression symptoms, child depressive symptoms, and functioning. We used analysis of covariance to test for posttreatment differences between experimental and control groups. Results: Of the treatment group, 27% dropped out at posttreatment, and 43% by follow-up. Those who dropped out had more severe depression at baseline than did those who completed the program, and there was selective loss of parents with more severe depression in the experimental group. In intention-to-treat analyses at posttreatment, probands in the experimental group reported more improvements on family functioning, parenting sense of competence, and family and parent conflict than did control subjects. Standardized effect sizes (ES) were medium (0.4 to 0.6). When baseline depressive symptom scores were controlled in the analyses, the between-group differences were reduced, showing that selective loss of participants may have influenced the findings. Conclusions: On balance, the results are encouraging and support the further development and evaluation of the group intervention. However, the study does not provide unequivocal evidence in support of the program. Before it is transferred to other settings, the program needs further modification to improve participation by parents with more severe depression and further evaluation of its effectiveness.

scholarly journals CHANGE OF DAIRY PRODUCTIVITY IN COWS WHEN REPLACING SOY GRAINS IN DIETS WITH EXTRUDED LUPINE

2021 ◽  
Author(s):  
Zinaida Fedorova ◽  
Vladimir Zarudnyy
Keyword(s):  
Mass Fraction ◽  
Control Group ◽  
Qualitative Composition ◽  
Entire Study Period ◽  
Milk Productivity ◽  
Entire Study ◽  
To Receive ◽  
Positive Effect ◽  
Experimental Group

The positive effect of extruded lupine grain in the composition of compound feed on the increase in milk productivity of cows was established, which made it possible to receive an additional 112 kg of milk and profit from the sale of milk — 1635 rubles on average per 1 head for the entire study period (75 days). An improvement in the qualitative composition of milk was revealed: the mass fraction of fat in cows in the experimental group was increased to 4.13%, compared to 3.87% in the control group; the mass fraction of protein in cows in the experimental group was 3.38%, while in cows in the control it was 3.27%.

A Behavioural Training Programme for Chronic Schizophrenic Patients

1994 ◽  
Vol 165 (S24) ◽  
pp. 32-37 ◽  
Author(s):  
Feifei Li ◽  
Mingde Wang
Keyword(s):  
Negative Symptoms ◽  
Skills Training ◽  
Training Programme ◽  
Token Economy ◽  
Psychiatric Nurses ◽  
Control Group ◽  
Behavioural Treatment ◽  
Chronic Schizophrenic ◽  
Schizophrenic Patients ◽  
Experimental Group

This paper discusses the effectiveness of an in-patient rehabilitation programme administered by nurses that combines life skills training, active encouragement, and a token economy. Fifty-two chronic schizophrenic patients with prominent negative symptoms who had been continuously in hospital for at least a year were randomly assigned to the experimental or control group. The training and associated reinforcement schedule were administered daily to experimental subjects by two specially trained rehabilitation nurses. Control subjects did not receive training or reinforcement but were individually asked to perform the same daily tasks and participate in the same activities as the experimental-group subjects. Patients in both groups received their previous dosage of medication throughout the trial. After three months the severity of negative symptoms, as assessed by blind evaluators, decreased in both groups of subjects, but the improvement in the experimental group was much greater than that in the control group. These findings demonstrate the efficacy of behavioural interventions for chronic schizophrenic in-patients in China and highlight the importance of changing the role of Chinese psychiatric nurses from that of custodians who control patients' behaviour to that of therapists who provide psychological and behavioural treatment.

Effect of an Open-Door Policy Combined with a Structured Activity Programme on the Residual Symptoms of Schizophrenic In-Patients

1994 ◽  
Vol 165 (S24) ◽  
pp. 52-57 ◽  
Author(s):  
Zhengshu Jin
Keyword(s):  
Negative Symptoms ◽  
Rating Scale ◽  
Control Group ◽  
Open Door Policy ◽  
Residual Symptoms ◽  
Schizophrenic Patients ◽  
Psychiatric Rating ◽  
Psychiatric Rating Scale ◽  
And Control ◽  
Experimental Group

Fifty female schizophrenic patients on the same locked ward were randomly assigned to experimental and control groups. Experimental group subjects were given as much autonomy and freedom as possible (they were permitted to leave the ward at will) and were encouraged to take part in collective activities. The control group were not permitted to leave the ward and did not take part in these activities. All patients were evaluated at enrolment and after six months – using Chinese versions of the Scale for Assessment of Negative Symptoms and the Brief Psychiatric Rating Scale – by psychiatrists who were blind to patients' treatment status. After the six-month intervention the severity of all types of both negative and positive symptoms and the mean dosage of medication in the experimental group were significantly less than in the control group.

The efficacy of cognitive- behavior group therapy and social skill trainings on reduction of negative symptoms of schizophrenic patients

2011 ◽  
Vol 26 (S2) ◽  
pp. 1327-1327
Author(s):  
M. Shafiei Amiri ◽  
T. Ahmadi Gatab ◽  
N. Babakhani
Keyword(s):  
Social Skills ◽  
Group Therapy ◽  
Social Skill ◽  
Negative Symptoms ◽  
Skill Training ◽  
Social Skill Training ◽  
Control Group ◽  
Cognitive Behavior ◽  
Schizophrenic Patients ◽  
Experimental Group

IntroductionSchizophrenia is a destructive disease that can break the personality structure down in severe conditions and causes disturbance of thoughts, feelings and actions, and thus affects the personal, family and social performance and relationships, and disturbs them.AimsThe aim of this study is the investigation of the efficacy of cognitive -behavior therapy and social skill trainings on reduction of negative symptoms of schizophrenic patients.MethodsThe present study is experimental design based on pre-test, post-test with control group and to select randomly, the available sampling method was used. (15persons)were selected for each group and they were randomly assigned to two groups: experimental group (combination of cognitive-behavior group therapy and social skill training) and control group (cognitive- behavior group therapy).ResultsAfter three months the administration of combination program of cognitive-behavior group therapy and social skill training than cognitive- behavior group therapy, the negative symptoms of experimental group decreased significantly. Also, social skills of experimental group were significantly higher than the control group that causes the significant reduction of negative symptoms of schizophrenic patients.ConclusionsThe obtained results show that: on improvement of symptoms of schizophrenic patients, the efficacy of combination of cognitive -behavior group therapy and social skills is more than cognitive- behavior group therapy.

scholarly journals Family education for people with schizophrenia in Beijing, China

2005 ◽  
Vol 187 (4) ◽  
pp. 339-345 ◽  
Author(s):  
Zheng Li ◽  
David Arthur
Keyword(s):  
Controlled Trial ◽  
Intervention Group ◽  
Family Education ◽  
Control Group ◽  
Large Hospital ◽  
Significant Difference ◽  
Symptom Scores ◽  
Randomised Controlled ◽  
Beijing China ◽  
Experimental Group

BackgroundMuch of China lacks well-developed services for people with schizophrenia and their families, and most of the existing services focus on hospitals. There is a need for culturally sensitive family treatments offered by nurses.AimsTo conduct a longitudinal experimental study examining the effect of patient and family education in a sample of Chinese people with schizophrenia.MethodA randomised controlled trial was conducted in a large hospital with a sample of 101 patients with schizophrenia and their families. Data were collected at admission and at discharge, and then at 3 and 9 months after discharge. The intervention group received family education, and data on their knowledge about schizophrenia, symptoms, functioning, psychosocial behaviour, relapse and medication adherence were collected and compared with the control group.ResultsThere was a significant improvement in knowledge about schizophrenia in the experimental group and a significant difference in symptom scores and functioning at 9 months after discharge. Patients who were non-adherent to medication regimens were more likely to relapse.ConclusionsFamily education on schizophrenia by nurses in China was effective in improving knowledge and promoting improvement in patients' symptoms.

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